How much rates vary
Facilitymedian $7,244 · 10th to 90th $4,677 to $9,550Professionalmedian $4,677 · 10th to 90th $3,467 to $8,318
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,265.80 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,623.41 Median $15,848.93 Typical High $20,417.38 | Professional | None | $5,623.41 | $15,848.93 | $20,417.38 |
Moda Health Setting Facility Modifier None Typical Low $4,365.16 Median $5,495.41 Typical High $7,413.10 | Facility | None | $4,365.16 | $5,495.41 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $4,466.84 Median $6,760.83 Typical High $7,413.10 | Professional | None | $4,466.84 | $6,760.83 | $7,413.10 |
Pacific Source Setting Facility Modifier None Typical Low $7,079.46 Median $7,244.36 Typical High $7,413.10 | Facility | None | $7,079.46 | $7,244.36 | $7,413.10 |
Providence Setting Facility Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $7,413.10 | Facility | None | $4,365.16 | $4,677.35 | $7,413.10 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,467.37 Typical High $7,079.46 | Professional | None | $79.43 | $3,467.37 | $7,079.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,888.44 Median $11,748.98 Typical High $28,183.83 | Facility | None | $5,888.44 | $11,748.98 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $7,585.78 Median $8,317.64 Typical High $8,317.64 | Professional | None | $7,585.78 | $8,317.64 | $8,317.64 |
United Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $15,488.17 | Facility | None | $11,481.54 | $11,481.54 | $15,488.17 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $3,548.13 Typical High $6,918.31 | Professional | None | $3,235.94 | $3,548.13 | $6,918.31 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | 52 · Reduced service | $2,089.30 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $891.25 Typical High $891.25 | Professional | 53 · Discontinued | $851.14 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $676.08 Typical High $676.08 | Professional | 55 · Aftercare only | $630.96 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | 56 · Pre-op care only | $426.58 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | 52 · Reduced service | $2,238.72 | $2,238.72 | $2,238.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 53 · Discontinued | $891.25 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 55 · Aftercare only | $676.08 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 56 · Pre-op care only | $446.68 | $446.68 | $446.68 |
Where Oregon sits
The same service costs 2.3 times more in Arkansas than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 15th of 51
$6,026
AR $8,128VT $3,467
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.